Feasibility of implementing chronic care model in the malaysian public primary care setting

Farnaza Ariffin, Anis Safura Ramli, Maryam Hannah Daud, Jamaiyah Haniff, Suraya Abdul-Razak, Sharmini Selvarajah, Vernakm Lee, Tong Seng Fah, Mohamad Adam Bujang

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Introduction: Non-communicable diseases (NCD) is a global health threat. the Chronic Care Model (CCM) was proven effective in improving NCD management and outcomes in developed countries. Evidence from developing countries including Malaysia is limited and feasibility of CCM implementation has not been assessed. this study intends to assess the feasibility of public primary health care clinics (PHC) in providing care according to the CCM. Methodology: A cross-sectional survey was conducted to assess the public PHC ability to implement the components of CCM. All public PHC with Family Medicine Specialist in Selangor and Kuala Lumpur were invited to participate. A site feasibility questionnaire was distributed to collect site investigator and clinic information as well as delivery of care for diabetes and hypertension. results: there were a total of 34 public PHC invited to participate with a response rate of 100%. there were 20 urban and 14 suburban clinics. the average number of patients seen per day ranged between 250-1000 patients. the clinic has a good mix of multidisciplinary team members. All clinics had a diabetic registry and 73.5% had a hypertensive registry. 23.5% had a dedicated diabetes and 26.5% had a dedicated hypertension clinic with most clinic implementing integrated care of acute and NCD cases. Discussion: the implementation of the essential components of CCM is feasible in public PHCs, despite various constraints. Although variations in delivery of care exists, majority of the clinics have adequate staff that were willing to be trained and are committed to improving patient care.

Original languageEnglish
Pages (from-to)106-112
Number of pages7
JournalMedical Journal of Malaysia
Volume72
Issue number2
Publication statusPublished - 2017

Fingerprint

Primary Health Care
Public Health
Registries
Hypertension
Aptitude
Malaysia
Acute Disease
Disease Management
Developed Countries
Developing Countries
Patient Care
Cross-Sectional Studies
Research Personnel
Medicine

Keywords

  • Chronic care model
  • Chronic disease
  • Feasibility
  • Malaysia
  • Multifaceted intervention
  • Non-communicable disease
  • Primary Healthcare clinic

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Ariffin, F., Ramli, A. S., Daud, M. H., Haniff, J., Abdul-Razak, S., Selvarajah, S., ... Bujang, M. A. (2017). Feasibility of implementing chronic care model in the malaysian public primary care setting. Medical Journal of Malaysia, 72(2), 106-112.

Feasibility of implementing chronic care model in the malaysian public primary care setting. / Ariffin, Farnaza; Ramli, Anis Safura; Daud, Maryam Hannah; Haniff, Jamaiyah; Abdul-Razak, Suraya; Selvarajah, Sharmini; Lee, Vernakm; Seng Fah, Tong; Bujang, Mohamad Adam.

In: Medical Journal of Malaysia, Vol. 72, No. 2, 2017, p. 106-112.

Research output: Contribution to journalArticle

Ariffin, F, Ramli, AS, Daud, MH, Haniff, J, Abdul-Razak, S, Selvarajah, S, Lee, V, Seng Fah, T & Bujang, MA 2017, 'Feasibility of implementing chronic care model in the malaysian public primary care setting', Medical Journal of Malaysia, vol. 72, no. 2, pp. 106-112.
Ariffin F, Ramli AS, Daud MH, Haniff J, Abdul-Razak S, Selvarajah S et al. Feasibility of implementing chronic care model in the malaysian public primary care setting. Medical Journal of Malaysia. 2017;72(2):106-112.
Ariffin, Farnaza ; Ramli, Anis Safura ; Daud, Maryam Hannah ; Haniff, Jamaiyah ; Abdul-Razak, Suraya ; Selvarajah, Sharmini ; Lee, Vernakm ; Seng Fah, Tong ; Bujang, Mohamad Adam. / Feasibility of implementing chronic care model in the malaysian public primary care setting. In: Medical Journal of Malaysia. 2017 ; Vol. 72, No. 2. pp. 106-112.
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